Individual
KRISTIN KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
149 ENNELL ST, LOWELL, MA 01850-1841
(978) 937-7670
Mailing address
4 VIRGINIA RD, TYNGSBORO, MA 01879-2346
(978) 502-8104
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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